Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Michigan Cosmetic & Reconstructive Surgery Center P C

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1255519237

Northern Michigan Cosmetic & Reconstructive Surgery Center P C is an Endocrinology, Diabetes & Metabolism Physician in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2

Practice location Address checks out

560 W Mitchell St Ste 360
Petoskey, MI 49770-2275
Phone: (231) 487-6070
Fax: (231) 487-6073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 4301069604 (MI)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence 4301069905 (MI)

Record details

NPI number1255519237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kane — Ceo · (231) 487-6070
NPI enumeratedFebruary 1, 2008
Last updated in NPPESMarch 8, 2011
Mailing address560 W Mitchell St, Suite 360, Petoskey, MI 49770-2275